Federal inspection record · CMS data as of October 1, 2026
Bear Creek Nursing And Rehabilitation
3729 Ira E Woods Avenue, Grapevine, TX · (817) 527-7500
- Special Focus Facility
- Certified beds
- 100
- Residents per day
- 69
- Ownership
- For-Profit
- Chain
- Eduro Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 21, 2016
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Bear Creek Nursing And Rehabilitation carries 323.25 inspection points. That is fewer than 2% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
K
Ensure that residents are free from significant medication errors.
-
K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service7E
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights5E
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Give the resident's representative the ability to exercise the resident's rights.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning4E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary3E
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Environmental1E
- E
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Nursing and Physician Services1E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2026-05-07
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2025-03-20
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-15
10 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 28 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 57% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$122,989 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-21 | Fine | $49,677 |
| 2024-10-25 | Fine | $65,866 |
| 2023-10-30 | Fine | $7,446 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 96.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 98.3% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better | 0.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 4.9% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts worse | 25.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 3.9% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened15.6 pts worse | 28.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.7 pts worse | 28.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts worse | 3.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.4 pts worse | 23.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 6.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts worse | 81.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 8.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse | 3.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.1 pts worse | 82.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse | 28.9% | 25.5% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Maverick County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Bewsey, Michael | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Grapevine Nursing And Rehab Center, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Martinez, Alma | Corporate Director · Individual | 0% | 10 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure electrical receptacles or cover plates have distinctive color or marking.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke3F
- C
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness2F
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Grapevine Medical Lodge
Grapevine, TX · Priority Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 10 min
- Fines
- $0
-
Avir at Grapevine
Grapevine, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 57 min
- Fines
- $29,614
-
Keller Oaks Healthcare Center
Keller, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0